DOT certification Exam Study Guide - 2023/2024 Complete Solution

DOT certification Exam Study Guide LTCCS - large truck crash causation study, 2001 -2003, reported in 2006 #1 caus e of fatalities with big trucks? - driver fatigue DOT organization - all subcategories are separate entities and require different things What is covered in NRCME training? - federal motor carrier safety administration (FMCSA) How long does NRCME certif ication last? - 10 years with a 5 year update class once a driver is certified, what is the longest it lasts? - 2 years SPE - skill performance evaluation Three copies of driver's certificate: who gets them and who has original for how long? - driver, employer get copies examiner keeps original for 3 years Non discretionary standards - immediately DQ the driver, examiner MUST follow standards discretionary guides/recommendations - limits steered by recommendations and examiners judgement list the non discretionary DQers - Hx of epilepsy, failed hearing exam, failed Vx exam, active insulin dependent DM who oversees medical certification process? - office o f medical programs how many X more is mortality rate for passenger vehicle vs large truck, in a crash between the two? - passenger vehicle 5X more likely to die where are physical standards for drivers listed? - 49 CFR 391.41 define CMV - commercial mot or vehicle: any self propelled or towed MV used on a highway in interstate commerce to transport passengers or property...10k lbs or more, 8+ passengers for $$, 15+ passengers not for $$, hazardous materials where is CMV defined? - 40 CFR 390.5 where are medical examiner qualifications found? - 49 CFR 391.43 Where are general qualifications for CMV drivers found? - 49 CFR 391.11 list non -discretionary standards - loss of limb, limb impairment, CV condition, respiratory dysfunction, HTN, RA/OA/orthopedic /muscular, mental disorder, drug use, alcoholism "average" driver demographics - male, 40+, sedentary, obese, smoker, poor eating habits "average" driver medical health - less healthy than average citizen, 2+ medical conditions, CV disease list 9 occupational stressors for CMV drivers - type of route, schedule, finances, vehicle, road conditions, environmental, type of cargo when can a driver on insulin be certified? - if he/she has FMCSA waiver - 49 CFR 391.64 OR federal exemption program FMCSA definition of "severe hypoglycemia" - seizure, LOC, need assistance from others, impaired cog fxn if severe hypoglycemia, ask if driver has had reactions how frequently? - 1+ in last 12 months 2+ in last 5 years what happens if driver has loss of proprioception? what about peripheral neuropathy? - DQ and DQ what if DM patient has resting tachycardia or orthostatic HOTN? - DQ what if driver has silver wire, cotton patches? - qualify but recommend ophthalmologist yearly what if driver has unstable retinopathy where neovascularization extends into vitreous? - DQ driver uses telescopic lenses? - DQ what if driver on incretin mimetics? what about other oral hypoglycemics? - certify for one year DM exemption requires a driver to: - annual endocrinol ogy visit, annual optho visit, DM education, glucose monitoring forced whisper test - hear a forced whisper at no less than 5ft audiometric testing limits - average hearing loss no greater than 40 decibels can driver wear hearing aids during forced whis per test? - yes audiometer should be calibrated to what standard? - American National Standards Institute (ANSI) Z24.5 -1951